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Withholding over $1 billion in Medicaid funds without sharing data or explaining how deferral amounts were calculated is a political squeeze on states that expanded care for seniors and people with disabilities. California's in-home care program was federally encouraged and audited clean in 2020, making this look far more like punishment than oversight. Thousands of low-income residents now face uncertainty over health care because of an unsubstantiated federal action.
Medicaid dollars belong to vulnerable Americans, not to states running unchecked spending programs. California's in-home care costs exploded far beyond national trends, and Minnesota already had providers flagged over integrity concerns, so this is basic accountability. Deferring payments until states prove compliance is exactly how responsible government is supposed to work.